Preparing MSW students for
Integrated Behavioral Healthcare
through Interprofessional
Education: Lessons Learned
Lisa de Saxe Zerden, MSW, PhD
Anne Jones, LCSW, PhD
Denisé Dews, MSW
Amy Prentice, LCSW, MSW
Rayhaan Adams, LCSW, MSW
Meg Zomorodi, PhD, RN, CNL
I.
Background context
II.
Case examples interprofessional strategies
-
Interprofessional case conference
-
Field education
-
Curricula
III.
Challenges and lessons learned
I.
Questions
Healthcare Reforms:
ACA (2010) Expansion of insurance coverage
6,
Medicaid (not in NC)
9,10
Private Insurance through health care exchanges
Reforms of what will be offered
6, 10
Can not discriminate against pre-existing conditions
Expanded Coverage up to age 26
Emphasis on prevention
5
Reforms in reimbursement
Reforms in technology and integrated systems
Co-occurrence
between mental
illness and other
chronic
conditions
What is Integrated Care and
Interprofessional Education—
The systematic coordination
of mental health, substance
abuse and primary care
services with an emphasis
on prevention.
Treating people holistically,
in a cost effective manner
that meets all of their
health needs
1Interprofessional Education (IPE)
An "experience where
students from two or
more professions learn
about, from, and with
each other to enable
effective collaboration
and improve health
UNC Chapel Hill School of
Social Work:
HRSA Grant– Funding Integrated Behavioral Health
Workforce Expansion (Fall 2014)
-
Interprofessional Case Conference
-
Interprofessional and Integrated Health Field
Placements
-
Interprofessional Coursework
Interprofessional Education
Geriatric Focused Core- Faculty
Physical therapy
Occupational therapy
Pharmacy
Nutrition
Social Work
Nursing
Problem Based Learning
Large Group
-
Person centered care
-
Faculty model a case
-
Art & Healthcare
Small Groups
-
Interdisciplinary
Assessment of field placements
on level of integration
Types of Placements:
-
Outpatient family practice clinics
-
FQHCs
-
Homeless shelter
-
University hospital system
-
Behavioral health centers
IPE Curricula
-
Parallel direct practice
course developed by MD
and MSW, LCSW
-
Students worked with
real patients and met
weekly for didactic
lecture and sharing
experiences
IPE Patient Advocacy
Course
Population Health: IPE
Management in a
Changing Healthcare
System
-
Macro course developed
by Nursing, SW, MD and
Public Health faculty
-
Enrolled students from
medical school,
pharmacy, SW and public
health
Overcoming Challenges
Logistics and Scheduling
Lack of Central Coordinator
Length of Practicums/Field Placements
Role Models in Field
1.
Hogg Foundation for Mental Health. (2011). Connecting Body & Mind: A Resource
Guide to Integrated Health Care in Texas and the U.S .Retrieved May 13, 2014
from:
www.hogg.utexas.edu
2.
National Institute of Mental Health. (2011). Closing the gaps: Reducing disparities
in mental health treatment through engagement. Retrieved August 12, 2014:
http://www.nimh.nih.gov/research-priorities/scientific-meetings/2011/closing-the-
gaps-reducing-disparities-in-mental-health-treatment-through-engagement/index.shtml
3.
Beck M.L., Monheit, A.C. (2001). The concentration of health care expenditures,
revisited. Health Affairs, 20(6), 9-18.
4.
WHO (2010):
Framework for action on interprofessional education &
collaborative practice. Geneva: World Health Organization.
5.
SAMHSA and California Institute of Mental Health. (2011). Integration of Mental
Health, Substance Abuse and Primary Care Services. Retrieved August 12, 2014
from:
http://www.integration.samhsa.gov/sliders/slider_10.3.pdf
6. SAMHSA-HRSA Center for Integrated Health Solutions. (2013).Integrated care models. Retrieved May 15, 2014 from: http://www.integration.samhsa.gov/integrated-care-models
7. SAMHSA (2014). Health reform basics. Retrieved Aug 13, 2014 from:
http://beta.samhsa.gov/health-reform/health-reform-basics
8. Miller, B.F., & Druss, B. (2013). The role of family physicians in mental health care delivery in the United States: Implications for health reform. Journal of American Board of Family Medicine (2), 111-13.
9. North Carolina Institute of Medicine (2011).Implementation of the Patient Protection and Affordable Care Act in North Carolina. [Internet] 2011. Available from:
www.nciom.org/publications/?healthreform
10. Silberman, P. (2013). Implementing the Affordable Care Act in North Carolina. North Carolina
Medical Journal, 74(4), 298-307.
11. National Association of Deans and Directors Schools of Social Work (2012). A behavioral health disparities curriculum infusion initiative: eliminating behavioral health disparities for racial and ethnic minority populations: workforce development to mobilize social work as a resource. Rockville, MD: U.S. Department of Health and Human Services.
12. Hine, C. E., Howell, H. B., & Yonkers, K. A. (2008). Integration of medical and psychological treatment within the primary health care setting. Social Work in Health Care, 47(2), 122-134.
